Question

A 70-year-old with non-valvular AF is scheduled for pacemaker implantation while on warfarin with INR 2.3. What perioperative antithrombotic strategy is recommended by CHEST?

Accepted Answer

Continue warfarin during pacemaker implantation

Answer

Stop warfarin and bridge with therapeutic LMWH

Answer

Stop warfarin 1 day prior without bridging

Answer

Switch to DOAC one week before

Answer

Give vitamin K to reverse to INR <1.5

Practice question

A 70-year-old with non-valvular AF is scheduled for pacemaker implantation while on warfarin with INR 2.3. What perioperative antithrombotic strategy is recommended by CHEST?